Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04283 | Date 18/03/2019 |
| Token No | SM/19-20/15475 17/12/2019 | Serial | 026 Last Visit: 16/12/2023 |
| Patient Name | Mr. MD SAJID ANSARI | Contact No | 9874059174 |
| Address | 28/1 KNAHAI DEWAN LANE, SERAMPORE | Age | 61 Years,11 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||